Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jacob Sooter

Individual provider Physician Assistant · NPI 1851946453

Jacob Sooter is a Physician Assistant in Moncks Corner, South Carolina. Qualified in 2019, 7 years ago. Practices with Burke Primary Care LLC, a 24-clinician group and accepts Medicare assignment.

Years since qualifying
7
In the registry since
2019

Practice location Address checks out

2061 Highway 52
Moncks Corner, SC 29461-5017
Phone: (316) 208-4591
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1851946453
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 9, 2019
Last updated in NPPESMarch 1, 2021
Certification dateMarch 1, 2021
Mailing address2061 Highway 52, Moncks Corner, SC 29461-5017

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Burke Primary Care Llc — 24 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Moncks Corner